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Users also searched for: medication errors

  1. A Conceptual Model for Disclosure of Medical Errors (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - Error factors included level of harm and whether patients and others were aware of the error and the … The level of harm caused by the error and whether patients and others were aware of the error and any … You put yourself in the hands of your professional…” Error factors The outcome of the error—who … Error outcome and patient awareness of the error outweighed any other determinants for disclosure related … to the error itself.

  2. Using Home Visits to Understand Medication Errors in Children (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
    May 28, 2008 - the error. … error without injury). 3. … Not a medication error (excluded from the study). 10 A medication error is an error in drug ordering … Was a possible error found? … Was anyone notified of the error?

  3. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
    November 29, 2004 - , a lipid-control error, or a pharmacy error. … : (a) glycemic-control error; (b) lipid-control error; or (c) pharmacy error. … N % Error N % Error status unknown N % A1c < 7% At goal 1,371 33.0% A1c 7 – 7.9% … Column C provides the error rate in the subgroup at risk, while column D provides the error rate in … another type of error.

  4. Learning from Errors in Ambulatory Pediatrics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - Error reports were then read to ensure that each report represented a mutually exclusive error. … Reports that included more than one error were divided into separate error reports. … Examples of error reports Medical domain categories Example error report Preventive Medicine “ … Examples of error reports, cont. … Error discovered.

  5. Disclosure of Errors | PSNet

    psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Background Many patients harmed by a medical error never learn of the error. … Increasing the amount and quality of error disclosure will require addressing physician discomfort with … This may also require changes in how organizations approach error disclosure. … disclosure of an error may be admissible in a malpractice lawsuit. … There is some evidence that formal training in error disclosure can improve physicians' comfort with

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866520/psn-pdf
    August 14, 2024 - People are more error-prone after committing an error. … People are more error-prone after committing an error. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error In order to improve … This article explores the concept of post-error slowing. … https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error https://psnet.ahrq.gov

  7. Chartbook #27: MEPS Insurance Component Chartbook 2022

    meps.ahrq.gov/data_files/publications/cb27/cb27a.shtml
    January 01, 2022 - 48.7% Ohio 50.3% (Standard Error) (2.6%) (Standard Error) (2.9%) (Standard Error) … 53.3% (Standard Error) (2.8%) (Standard Error) (2.7%) (Standard Error) (2.4%) … Rhode Island 57.2%* (Standard Error) (2.7%) (Standard Error) (2.5%) (Standard Error) … 50.3% (Standard Error) (1.3%) (Standard Error) (3.0%) (Standard Error) (2.3%) … (Standard Error) (2.5%) (Standard Error) (1.9%) (Standard Error) (2.4%) Kansas

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867180/psn-pdf
    November 20, 2024 - Medical error: using storytelling and reflection to impact error response factors in family medicine … Medical error: using storytelling and reflection to impact error response factors in family medicine … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine … https://psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine

  9. Diy-Run-Chart-Tool (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
    June 02, 2025 - :#N/A 25% Dec'12 ERROR:#N/A 25% Jan'13 ERROR:#N/A 25% Feb'13 ERROR:#N/A 25% Mar'13 ERROR: … #N/A 25% Apr'13 ERROR:#N/A 25% May'13 ERROR:#N/A 25% Jun'13 ERROR:#N/A 25% Safety Net Medical … :#N/A 0% Aug'12 ERROR:#N/A 0% Sep'12 ERROR:#N/A 0% Oct'12 ERROR:#N/A 0% Nov'12 ERROR:#N/A … 0% Dec'12 ERROR:#N/A 0% Jan'13 ERROR:#N/A 0% Feb'13 ERROR:#N/A 0% Mar'13 ERROR:#N/A 0% … Apr'13 ERROR:#N/A 0% May'13 ERROR:#N/A 0% Jun'13 ERROR:#N/A 0% Safety Net Medical Home Initiative

  10. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - to detect and correct the error before it reaches patients. … This represents a prescribing error capture rate of 74%. … Medication error reporting systems. In Medication Errors. 2nd ed. … The probability and management of human error. … Technique for human error rate prediction (THERP).

  11. Standard Errors

    hcup-us.ahrq.gov/tech_assist/standarderrors/interactive/index.html
    March 06, 2024 - Standard Errors Enable Javascript support in the browser.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837797/psn-pdf
    August 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as … Toward constructive change after making a medical error: recovery from situations of error theory as … - error-theory Providers who are involved in a medial error may experience a range of negative emotions … https://psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory … https://psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839311/psn-pdf
    January 01, 2023 - How to induce an error management climate: experimental evidence from newly formed teams. … How to induce an error management climate: experimental evidence from newly formed teams. … teams Error management, as opposed to error avoidance, has been shown to improve transfer of skills … learn from errors) and error avoidance. … the indirect error management intervention.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50802/psn-pdf
    January 15, 2020 - Use of error management theory to quantify and characterize residents' error recovery strategies. … Use of error management theory to quantify and characterize residents’ error recovery strategies. … https://psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error- … detection and error recovery. … https://psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48129/psn-pdf
    August 14, 2019 - When there's no one to whom an error can be disclosed, how should an error be handled? … When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? … https://psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be- handled … https://psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled … https://psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating … - operating-room An essential part of resident training is error recovery- recognizing an error has … occurred and strategizing how to correct the error to maximize patient safety. … Focusing on these factors may enhance residents’ ability to develop their error recovery skills. … surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical https://psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies

  17. Risk-Based Patient Safety Metrics (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Error measurement has many limitations, including the issues of error identification, hindsight bias … If an error rate is: Identified errors Potential opportunities for that error to occur then, the … Error is attributed correctly. … .19 Similar to error identification through chart review, correct determination of a numerator of error … Therefore, calling something “human error” or “error” might not be factually meaningful.

  18. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
    December 01, 2015 - ERROR:#DIV/0! ERROR:#DIV/0! May 2015 ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … Jun 2015 ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! Jul 2015 ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! Aug 2015 ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! … Sep 2015 ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! Oct 2015 ERROR:#DIV/0! ERROR:#DIV/0! … ERROR:#DIV/0! ERROR:#DIV/0! Q2 SIR ERROR:#DIV/0!

  19. Proceedings of a summit on preventing patient harm and death from IV medication errors. | PSNet

    psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
    June 16, 2019 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  20. Lack of standard dosing methods contributes to IV errors. | PSNet

    psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
    December 07, 2022 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
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